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South Dakota rates for HCPCS E2228

Manual wheelchair accessory, wheel braking system and lock, complete, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.23 / $1,099.69 / $1,099.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.69 / $251.69 / $583.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.28 / $1,350.00 / $1,687.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.80 / $1,465.62 / $3,177.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.69 / $647.80 / $1,113.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.41 / $139.94 / $139.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $144.03 / $1,447.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.00 / $647.80 / $1,113.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.07 / $1,145.07 / $1,145.07